Physician Assistant ER Objectives answers
SKIN INFECTION Keflex 500mg bid #20- Duricef 500mg bid #20 or 1 tea bid 500/5cc or 250/5cc susp- Augmentin 500mg bid #20 or 250mg tid x5 for foot prophylaxsis- Vytone cream qid (roid,bac,fung)
TETANUS= Hypertet 250u im, dt 0.5 im 50 tt 0.5 im
FOLLICULITIS/IMPETIGO Bactroban 2% 15g apply small amount tid, if severe EES 400 tid #30
RINGWORM/TINEA Loprox 1% sol 30cc bid- Nizoral 2% 15g one time cream/shampoo 2x week for 4 weeks
CHICKEN POX/SHINGLES Zovirax Peds 20mg/kg qid #20 adult 800mg qid #20
TOPICAL STEROIDS Elocon 0.1% q day 15grams
LICE Kwill thin layer massage in & wash off in 8-12hr wash all clothes
BURNS Silvadeen bid to burn 50g
TRIGEMINAL NEURALGIA Tegretol 100mg bid w/meals
MIGRANES Iimitrex 6mg IM repeat in 1 hour if effective- Depakote- Dubaine- demerol & phenergan- Midrin 2 initially then 1 q half hr max 5/12hrs- Inderal 40mg bid range 160-240mg/day- Stadol NS (inhal) 1 spray in 1 nostril repeat in 1 hr q 3-4hrs prn- imetrix 6mg IM
TENSION HEADACHES Nsaids- Midrin 1-2 q 4hrs max 8/day
CONJUNCTIVITIS/BLEPHARITIS Sulfacetamide Na 10% 3gtts qid or q 2 hrs for abrasion; Ilotycin 5mg opthlmic oint. (erthromyacin)- Garamycin
OPTH SOL 3gtts q 2 hrs while awake (gram -) Neosporin (sulfur) opthalmic oint. tid if allergic to sulfur use vasacon
OTITIS EXTERNA Cortisporin otic sol (10ml) 4gtts tid/qid for 10 days (pain Auralqan otic 10ml fill canal & insert moist cotton plug prn)
OTITIS MEDIA ACUTE ATB'S- Amoxicillin, Augmentin, Ceclor for 10-14 days
DECONGESTANT/ANTIHISTAMINES Deconamine SR bid #20- Seldane 60mg bid #60
DECONGESTANTS ONLY Entex LA bid #30- Seldane D bid
RHINITIS/SINUSITIS/URI augmentin 250 tid #30- Amox 500 tid #30- Bactrim DS (sulfur allergy?) bid #20 full glass H20(good w/COPD)-Lorabid
PHARYNGITIS/TONSILITIS Amoxicillin 500MG TID #30 Ceclor 250-500mg qid #40 EES 400 tid #30 w/food
STREP Cefzil 500mg/day #10- Ceftin 250 0r 500mg bid #20- Lorabid 200mg bid #20- Pen VK 500mg qid #40- PCN G 1.2 million u IM
COUGH
TETANUS= Hypertet 250u im, dt 0.5 im 50 tt 0.5 im
FOLLICULITIS/IMPETIGO Bactroban 2% 15g apply small amount tid, if severe EES 400 tid #30
RINGWORM/TINEA Loprox 1% sol 30cc bid- Nizoral 2% 15g one time cream/shampoo 2x week for 4 weeks
CHICKEN POX/SHINGLES Zovirax Peds 20mg/kg qid #20 adult 800mg qid #20
TOPICAL STEROIDS Elocon 0.1% q day 15grams
LICE Kwill thin layer massage in & wash off in 8-12hr wash all clothes
BURNS Silvadeen bid to burn 50g
TRIGEMINAL NEURALGIA Tegretol 100mg bid w/meals
MIGRANES Iimitrex 6mg IM repeat in 1 hour if effective- Depakote- Dubaine- demerol & phenergan- Midrin 2 initially then 1 q half hr max 5/12hrs- Inderal 40mg bid range 160-240mg/day- Stadol NS (inhal) 1 spray in 1 nostril repeat in 1 hr q 3-4hrs prn- imetrix 6mg IM
TENSION HEADACHES Nsaids- Midrin 1-2 q 4hrs max 8/day
CONJUNCTIVITIS/BLEPHARITIS Sulfacetamide Na 10% 3gtts qid or q 2 hrs for abrasion; Ilotycin 5mg opthlmic oint. (erthromyacin)- Garamycin
OPTH SOL 3gtts q 2 hrs while awake (gram -) Neosporin (sulfur) opthalmic oint. tid if allergic to sulfur use vasacon
OTITIS EXTERNA Cortisporin otic sol (10ml) 4gtts tid/qid for 10 days (pain Auralqan otic 10ml fill canal & insert moist cotton plug prn)
OTITIS MEDIA ACUTE ATB'S- Amoxicillin, Augmentin, Ceclor for 10-14 days
DECONGESTANT/ANTIHISTAMINES Deconamine SR bid #20- Seldane 60mg bid #60
DECONGESTANTS ONLY Entex LA bid #30- Seldane D bid
RHINITIS/SINUSITIS/URI augmentin 250 tid #30- Amox 500 tid #30- Bactrim DS (sulfur allergy?) bid #20 full glass H20(good w/COPD)-Lorabid
PHARYNGITIS/TONSILITIS Amoxicillin 500MG TID #30 Ceclor 250-500mg qid #40 EES 400 tid #30 w/food
STREP Cefzil 500mg/day #10- Ceftin 250 0r 500mg bid #20- Lorabid 200mg bid #20- Pen VK 500mg qid #40- PCN G 1.2 million u IM
COUGH